Awarded for extraordinary heroism against an armed enemy but of a level not justifying the award of the Medal of Honor. It may be awarded to both civilians and military serving in any capacity with the Army who distinguish themselves by heroic actions in combat.

The act or acts of heroism must be so notable and have involved risk of life so extraordinary as to set the individual apart from his comrades.

The medal is a cross with an eagle with spread wings centered on the cross behind which is a circular wreath of laurel leaves.